Position : Credentialing and Insurance AR Representative
Salary Range : $1,500/ month
Duties and Responsibilities:
Credentialing:
- Complete and process provider applications.
- Maintain accuracy and completeness of provider data in our database.
- Communicate effectively with the Swish team throughout the credentialing process, addressing inquiries and concerns.
- Proactively follow up on application statuses and missing information.
Insurance AR:
- Investigate and resolve denied, delayed, or underpaid claims.
- Analyze claim denials and communicate root causes to the Swish team.
- Research and gather missing information needed for claim processing.
- Handle appeals for denied claims, supporting providers with documentation and justification.
- Track claim progress and proactively update the Swish team on status.
- Maintain detailed records of all follow-up activities and claim outcomes.
- Dental experience is preferred.
- 1-3 years of experience in the same role.
- Excellent written and verbal communication skills with the ability to explain complex information clearly and concisely.
- Strong technical skills and/or quick learner.
- Strong analytical and problem-solving skills to identify and address claim issues.
- Meticulous attention to detail and accuracy.
- Ability to prioritize tasks and work independently with minimal supervision.
- Positive and patient demeanor to manage and resolve challenging situations.
